Gross Motor Development of Children with Congenital Heart Disease Receiving Early Systematic Surveillance and

Solène Fourdain1,2, Marie-Noëlle Simard1,2,3, Lynn Dagenais3

  • 1Sainte-Justine University Hospital Research Center , Montreal, Quebec, Canada.

Insights

Most infants with congenital heart disease (CHD) show gross motor delays. Early physical therapy may improve motor development in these high-risk children.

Area of Science:

  • Pediatrics
  • Developmental Pediatrics
  • Cardiology

Background:

  • Congenital heart disease (CHD) affects approximately 1% of live births.
  • Infants with CHD often experience developmental challenges, including gross motor delays.
  • Systematic developmental follow-up is crucial for early identification of these issues.

Purpose of the Study:

  • To describe gross motor development in infants with CHD aged 4-24 months.
  • To determine the frequency of physical therapy (PT) received by these infants between 4-8 months.
  • To explore the relationship between PT frequency and motor development outcomes.

Main Methods:

  • Retrospective study of 29 infants with CHD.
  • Motor assessments using the Alberta Infant Motor Scales (AIMS) at 4 months.
  • Motor assessments using the Bayley Scales of Infant and Toddler Development, Third edition (Bayley-III) at 12 and 24 months.

Main Results:

  • 79% of 4-month-old infants with CHD exhibited gross motor delay.
  • 56.5% received 1-2 PT sessions, while 43.5% received 3-6 sessions.
  • Infants with regular PT interventions showed better motor score improvement from 12-24 months.

Conclusions:

  • Early gross motor screening is vital for infants with CHD.
  • Early physical therapy intervention shows potential benefits for motor development in at-risk infants.
  • Further research into optimal PT protocols for infants with CHD is warranted.

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